CNCW LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

CNCW LLC

Doing business as

Created Noble Center for Well-being

Practice address

2 Cardinal Park Dr SE Ste 105a
Leesburg, VA 20175-4448

Phone

(703) 403-9987

NPI assigned

Apr 23, 2021

Last updated

Apr 23, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Hediyeh Godfrey

Title

Co-Founder

Phone

(703) 403-9987

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Created Noble Center for Well-being Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1619136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619136000000",
    "number": "1639751167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19147 CHARTIER DR",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201761272",
            "telephone_number": "703-403-9987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CARDINAL PARK DR SE STE 105A",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201754448",
            "telephone_number": "703-403-9987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CNCW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-23",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A",
        "authorized_official_last_name": "GODFREY",
        "authorized_official_first_name": "HEDIYEH",
        "authorized_official_title_or_position": "CO-FOUNDER",
        "authorized_official_telephone_number": "703-403-9987",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1215517156",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Created Noble Center for Well-being",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charles R. Clegg, D. C.
• Jacqueline McCann Cleland, PSY D
• Patrick Cline
• Clinical Neurology PC
• Angela Cloud
• Wendy Warren Coates, LMFT
• Brian Gary Cochran, D.D.S.
• Anne Zschoche Cockerham, CNM
• Yong Joon Coe, DDS,MSD,MS
• Megan Cohen, LCSW

• Mental Health Counselor in Leesburg, VA
• Providers in Leesburg, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.